1. Home
  2. Directory
  3. Pennsylvania
  4. Lebanon
  5. Recreation Therapist
  6. NPI Profile

MRS. JESSICA R GANGAWARE CTRS
NPI 1750829644
Recreation Therapist in Lebanon, PA

Active since February 10, 2017
1700 S LINCOLN AVE, LEBANON, PA 17042(717) 272-6621 Get Directions Write a Review

NPPES record last updated: August 12, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 12, 2020, Feb 20, 2017, Feb 10, 2017 (3 updates tracked since 2017).

About Mrs. Jessica R Gangaware Ctrs NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. JESSICA R GANGAWARE CTRS (NPI 1750829644) is an individual recreation therapist in Lebanon, Pennsylvania, licensed in Pennsylvania (68009) and active in the NPI registry since February 2017.

NPPES Registry Identity

NPI1750829644
Entity TypeIndividualFemale
Primary Taxonomy225800000X
Provider Legal NameMRS. JESSICA R GANGAWARECredential: CTRS
Location Address1700 S LINCOLN AVELebanon, PA 17042-7529
Mailing Address650 E Indian School RoadPhoenix, AZ 85012-0777
Phone(717) 272-6621
Sole ProprietorYes
Enumeration DateFebruary 10, 2017
Last NPPES UpdateAugust 12, 20203 updates tracked since enumeration
NPPES CertifiedAugust 12, 2020
✔ NPI 1750829644 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRecreation TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225800000X
License✔ Licensed in PA · 68009
Definition
A recreation therapist uses recreational activities for intervention in some physical, social or emotional behavior to bring about a desired change in that behavior and promote the growth and development of the patient.
1700 S LINCOLN AVE, Lebanon, PA 17042
Open in Google Maps ↗

Other Names 1

Former Name (1)Jessica R Laughlin

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RANDALL CRAIG HAINES
Social Worker (Clinical)
1700 S LINCOLN AVE
LEBANON, PA 17042
Lebanon County (717) 272-6621
MS. DIANE BROWN M.A. CCC-A
Audiologist
1700 S LINCOLN AVE
LEBANON, PA 17042
Lebanon County (717) 272-6621
KAREN A ROGERS PA-C
Physician Assistant
1700 S LINCOLN AVE, LEBANON VAMC
LEBANON, PA 17042
Lebanon County (717) 272-6621
WAYNE LAWRENCE ROFFER PSY.D.
Psychologist (Clinical)
1700 S LINCOLN AVE
LEBANON, PA 17042
Lebanon County (717) 272-6621
REBECCA SANDERS LCSW
Social Worker (Clinical)
1700 S LINCOLN AVE
LEBANON, PA 17042
Lebanon County (717) 272-6621
DR. JASON REESE D.O.
Internal Medicine (Cardiovascular Disease)
1700 S LINCOLN AVE
LEBANON, PA 17042
Lebanon County (717) 272-6621
AIRIKA POLLARD LSW
Social Worker
1700 S LINCOLN AVE
LEBANON, PA 17042
Lebanon County (717) 222-0164
MISS SHAYLA RAE LEE LSW
Social Worker
1700 S LINCOLN AVE
LEBANON, PA 17042
Lebanon County (717) 847-1249

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jessica Gangaware's NPI number?

The NPI number for Jessica Gangaware is 1750829644. It was assigned to this individual provider in the NPPES registry on February 10, 2017. The provider is also known as Jessica R Laughlin.

Where is Jessica Gangaware located?

Jessica Gangaware practices at 1700 S Lincoln Ave, Lebanon, PA 17042. The listed phone number is (717) 272-6621.

What is Jessica Gangaware's specialty?

The primary specialty registered for this NPI is Recreation Therapist with taxonomy code 225800000X.

When was this NPI record last updated?

The NPPES record for Jessica Gangaware was last updated on August 12, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.